Nancy A Blum, DO
Family Medicine in Prescott, AZ. Individual provider (NPI-1).
NPI number1346351616
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346351616
- Entity type
- Individual (NPI-1)
- Name
- Nancy A Blum
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4146 | AZ | Yes |
Practice location
3105 Clearwater Dr Ste APrescott, AZ 86305-7166
Phone 928-717-1600
Mailing address
3105 Clearwater Dr Ste APrescott, AZ 86305-7166
Phone 928-717-1600
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